AssessmentsTethered spinal cord syndrome
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 4-year-old boy comes to the clinic with his mother because of a well-child visit. The boy is sitting with his mother and appears calm and in no apparent distress. The mother reports that recently her son has been having trouble walking normally. She also reports that he was progressing in potty training for a few months, but now seems to be having more urinary accidents. The mother reports that she had a normal vaginal delivery, but she had very little prenatal care. Physical examination is unremarkable except for an unsteady gait and a hairy patch near the L3-L4 spinal level. Which of the following is the most likely diagnosis?